sf1449_-_02112014V1.doc
DOC document 55 KB Posted
- Solicitation number
- SZA600-14-R-0005
- Issued by
-
Department of State US Embassy Lusaka
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SF 1449
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Text version
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
1. REQUISITION NUMBER
2. CONTRACT NO.
3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER
5. SOLICITATION NUMBER
SZA600-14-R-0005
6. SOLICITATION ISSUE DATE
February 25, 2014
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
ETHEL MWANAUMO
b. TELEPHONE NUMBER(No collect calls)
+260 211 357 000
8. OFFER DUE DATE/ LOCAL TIME: March 26, 2014
9. ISSUED BY CODE
| 10. THIS ACQUISITION IS |
| FORMCHECKBOX |
UNRESTRICTED OR
FORMCHECKBOX
SET ASIDE:____ % FOR:
FORMCHECKBOX
SMALL BUSINESS
FORMCHECKBOX
WOMEN-OWNED SMALL BUSINESS
US Embassy Lusaka
Subdivision 694/Stand 100
Ibex Hill Road
Kabulonga
Lusaka
FORMCHECKBOX
HUBZONE SMALL
BUSINESS
FORMCHECKBOX
(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM NAICS:
FORMCHECKBOX
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
FORMCHECKBOX
EDWOSB
FORMCHECKBOX
8 (A)
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINAT-
TION UNLESS BLOCK IS
MARKED
FORMCHECKBOX
SEE SCHEDULE
| 12. DISCOUNT TERMS |
| FORMCHECKBOX |
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
FORMCHECKBOX
RFQ FORMCHECKBOX
IFB FORMCHECKBOX
RFP
| 15. DELIVER TO |
| CODE |
| 16. ADMINISTERED BY |
| CODE |
US Embassy Lusaka
Subdivision 694/Stand 100
Ibex Hill Road
Kabulonga
Lusaka
Same as Block 9
17a. CONTRACTOR/
OFFERER
TELEPHONE NO.
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
ELECTRONIC FUNDS TRANSFER
CODE
FORMCHECKBOX
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK
BELOW IS CHECKED
FORMCHECKBOX
SEE ADDENDUM
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
SEE SECTION 1 OF SOLICITATATION
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
FORMCHECKBOX
27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
FORMCHECKBOX
ARE FORMCHECKBOX
ARE NOT ATTACHED
FORMCHECKBOX
27b.CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
FORMCHECKBOX
ARE FORMCHECKBOX
ARE NOT ATTACHED
FORMCHECKBOX
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN __1__ COPY TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.
FORMCHECKBOX
29. AWARD OF CONTRACT: REF. _________________ OFFER DATED ____________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
| 30a. SIGNATURE OF OFFEROR/CONTRACTOR |
| 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) |
30b. NAME AND TITLE OF SIGNER (Type or print)
30c. DATE SIGNED
31b. NAME OF CONTRACTING OFFICER Paul Stenseth 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1449 (REV. 02/2012)
PREVIOUS EDITION IS NOT USABLE
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Prescribed by GSA - FAR (48 CFR) 53.212
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